U
S
D
C
NITED
TATES
ISTRICT
OURT
OFFICIAL BUSINESS
OFFICE OF THE CLERK
PENALTY FOR PRIVATE USE $300
(See address on reverse side)
Dear Juror:
The following action will be taken by the court with regard to your summons for jury service:
G You are not required to report for jury duty.
G Your request to be excused will be granted. You are not required to report for jury duty.
G You will be temporarily excused:
G until
G until further notice.
G you will be notified in the future as to the exact date to appear.
G Your request to be excused cannot be granted. You are to report for jury service:
G on
.
G as directed in the summons.
Clerk of the Court
AO 223 (Rev. 3/94) Notice of Excuse
------------------------ -----------------------------------
---------------------------------------------------------- -------------------------------------------- ---------------------------
U
S
D
C
NITED
TATES
ISTRICT
OURT
OFFICIAL BUSINESS
OFFICE OF THE CLERK
PENALTY FOR PRIVATE USE $300
(See address on reverse side)
Dear Juror:
The following action will be taken by the court with regard to your summons for jury service:
G You are not required to report for jury duty.
G Your request to be excused will be granted. You are not required to report for jury duty.
G You will be temporarily excused:
G until
G until further notice.
G you will be notified in the future as to the exact date to appear.
G Your request to be excused cannot be granted. You are to report for jury service:
G on
.
G as directed in the summons.
Clerk of the Court
AO 223 (Rev. 3/94) Notice of Excuse
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